DR. ARUN GURU JAYAKUMAR MD, NPI 1477544575 — GREENBELT (MO)

NPI 1477544575

14+ Years Experience Individual

DR. ARUN GURU JAYAKUMAR MD

10/31/2005
PROVIDER ENUMERATION DATE
09/20/2011
LAST UPDATE DATE
1477544575
NPI NUMBER

About DR. ARUN GURU JAYAKUMAR

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. ARUN GURU JAYAKUMAR is a provider established in GREENBELT, MO. The NPI number of DR. ARUN GURU JAYAKUMAR is 1477544575 and was assigned on 10/31/2005. The practitioners primary taxonomy code is: 207RN0300X with license number: D0069694 MD .

Mailing address

  • City: GREENBELT
  • State: MD
  • Postal code: 207703621
  • Phone: 3013450605
  • Fax: 3013450606
  • Address: 7331 HANOVER PKWY
  • Address 2: SUITE B

Primary Practice Address

  • Region : GREENBELT, MO
  • NPI : 1477544575
  • Phone : 3013450605
  • Fax : 3013450606
  • Postalcode : 207703621
  • Address : 7331 HANOVER PARKWAY SUITE B

Provider taxonomy - Internal Medicine

  • Taxonomy code: 207RN0300X
  • License number: D0069694
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Contacts:

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  • DR. ARUN GURU JAYAKUMAR MD
  • Address : 7331 HANOVER PARKWAY SUITE B
  • Region : GREENBELT, MO
  • NPI : 1477544575
  • Phone : 3013450605
  • Fax : 3013450606
  • Postalcode : 207703621

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address7331 HANOVER PARKWAY
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE B
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameGREENBELT
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMO
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code207703621
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3013450605
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3013450606
The fax number associated with the location address of the provider being identified.
NPI1477544575
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207RN0300X
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Provider Enumeration Date10/31/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/20/2011
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. ARUN GURU JAYAKUMAR
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address7331 HANOVER PKWY
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSUITE B
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameGREENBELT
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code207703621
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3013450605
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3013450606
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207RN0300X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Provider License Number 1D0069694
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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